The Blood Thinner Balance: Why I Take Apixaban
In my 11-medication arsenal for severe heart failure (LVSD EF 20%), Apixaban 5mg is the drug I take twice a day (BD) to ensure that my struggle with heart failure doesn't end in a devastating stroke or a dangerous internal clot.
When the heart muscle is weakened (like mine is), blood flow through the chambers can become sluggish. This increases the risk of blood pooling and forming clots, which can then travel to the brain (causing a stroke) or the lungs (causing a pulmonary embolism, or PE).
Apixaban works by:
Interrupting the Clotting Cascade: It directly inhibits a specific factor (Factor Xa) in the blood that is essential for clot formation.
Reducing Stroke Risk: This is the primary mission—ensuring that those devastating clots never form in the first place, offering vital protection to my brain.
No Routine Blood Tests: Unlike older blood thinners (like Warfarin), Apixaban usually doesn't require the constant blood tests (like INR monitoring), making my life slightly simpler.
🩸 The Constant Risk: Bleeding
While Apixaban is a life-saver, it is a constant reminder of the fine line I walk. If the blood is too thin, minor bumps or injuries can turn into serious bleeding events.
The Obvious Signs: I watch daily for easy bruising, blood in my urine or stool, or bleeding gums. If a cut bleeds excessively, I know I need to apply pressure for much longer than an average person.
The Hidden Danger (999 Risk): The greatest fear is internal bleeding, such as a severe stomach bleed or a bleed in the brain from a simple fall. This is an immediate, life-threatening emergency.
My Heart Failure Nurse and I have discussed this balance extensively. Given the high risk of stroke associated with my condition, the risk of bleeding from Apixaban is considered the safer option.
My Daily Protocol:
Strict Timing: I take my Apixaban at the exact same time every morning and evening. Missing a dose is dangerous, as is accidentally taking two doses too close together.
Contact Sports are Out: Contact sports, aggressive gardening, or any activity with a high risk of head injury is strictly avoided.
Emergency Awareness: In the event of any significant accident, fall, or injury, the first thing I must tell paramedics or hospital staff is: "I am on Apixaban." This is critical, as it informs their life-saving treatment plan.
If you are taking Apixaban (Eliquis), please carry a card confirming your medication and dose at all times. This information can be critical to saving your life in an emergency. Share this post—the life you save might be your own.
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